Myocardial bridge detected by changes in ECG before induction: A case report
Anesthesia and Pain Medicine
; : 226-229, 2012.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-74820
Responsible library:
WPRO
ABSTRACT
Myocardial bridge, in which some of the epicardial coronary arterial segments are embedded in the muscle, has clinical significance because serious cardiac diseases such as angina, cardiac ischemia, myocardial infarction, and sudden cardiac death can occur. However, anesthetic management for the perioperative period for patients with myocardial bridge has remained controversial. We present a case of anesthetic management for total gastrectomy in a previously healthy 56-year-old male patient, who exhibited T-wave inversion and ST-segment depression in ECG monitoring on arrival to the operating room. While delaying the operation for further study, he was diagnosed as having myocardial bridge on a 3D-coronary CT. After confirmation of the normal coronary angiography, the patient underwent total gastrectomy uneventfully. There is no substitute for vigilance regarding the anesthesiologist.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Death, Sudden, Cardiac
/
Coronary Angiography
/
Myocardial Ischemia
/
Depression
/
Electrocardiography
/
Perioperative Period
/
Gastrectomy
/
Heart Diseases
/
Infarction
Limits:
Humans
/
Male
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2012
Document type:
Article